Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island 02903, USA.
Health Psychol. 2013 Jun;32(6):616-26. doi: 10.1037/a0029886.
Physical activity (PA) has been shown to provide health benefits for breast cancer patients. The effects of augmenting oncology health care provider (HCP) advice for PA with 3 months of telephone counseling versus contact control were evaluated in a randomized trial.
After receiving brief HCP advice to become physically active, 192 women (age in years: M = 60.0, SD = 9.9) who had completed treatment for Stage 0-IV breast cancer were randomized to telephone counseling to support PA (n = 106) or contact control (n = 86). Their PA, motivational readiness, fatigue, and physical functioning were assessed at baseline (before receiving HCP advice), 3, 6, and 12 months.
Telephone counseling produced significant effects on the primary outcome of moderate-intensity PA of about 30 min/week at both 3 months (95% CI = 0.44, 57.32) and 6 months (95% CI = 3.06, 61.26). Intervention participants were also more than twice as likely as control participants to report improvements in achieving PA guidelines of at least 150 min/week at 3 (OR = 2.43, 95% CI = 1.18, 4.98) and 6 months (OR = 2.11, 95% CI = 1.00-4.48). Telephone counseling was significantly more effective than contact control in increasing motivational readiness for PA at all follow-ups (ORs = 3.93-6.28, all ps <.003). No between-groups differences were found for fatigue, while differential improvements in physical functioning did not remain significant past 3 months (p = .01).
HCP advice plus telephone counseling improved PA among breast cancer patients at 3 and 6 months and also differentially improved patients' motivational readiness at all follow-ups, suggesting the potential for exercise promotion in cancer follow-up care.
体育活动（PA）已被证明对乳腺癌患者有益健康。本研究评估了在一项随机试验中，用 3 个月的电话咨询来增强肿瘤医护人员（HCP）对 PA 的建议，与联系对照相比，对 PA 的影响。
在接受 HCP 关于变得积极运动的简短建议后，192 名（年龄：M=60.0，SD=9.9）已完成 0-IV 期乳腺癌治疗的女性被随机分配至支持 PA 的电话咨询组（n=106）或联系对照组（n=86）。在基线（接受 HCP 建议之前）、3、6 和 12 个月时，评估她们的 PA、动机准备、疲劳和身体功能。
电话咨询在中等强度 PA 的主要结果上产生了显著效果，大约每周增加 30 分钟，分别在 3 个月（95%CI=0.44，57.32）和 6 个月（95%CI=3.06，61.26）时。干预组参与者也比对照组参与者更有可能报告在 3 个月（OR=2.43，95%CI=1.18，4.98）和 6 个月（OR=2.11，95%CI=1.00-4.48）时达到至少 150 分钟/周的 PA 指南。与联系对照组相比，电话咨询在所有随访中均显著提高了 PA 的动机准备（ORs=3.93-6.28，所有 p 值均<.003）。两组在疲劳方面没有差异，而身体功能的差异改善在 3 个月后不再显著（p=.01）。
HCP 建议加电话咨询在 3 个月和 6 个月时提高了乳腺癌患者的 PA，并且在所有随访中也不同程度地提高了患者的动机准备，这表明在癌症随访护理中促进运动的潜力。
